| NPI | 1427449669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1236263) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 14241) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |