| NPI | 1427381433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4022) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3108157) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2011-09-08 |