| NPI | 1437365244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1142388) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX 992) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-01-18 |