| NPI | 1447280250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1105211) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT022197) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-01-14 |