| NPI | 1457453953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23969) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1146872) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2008-04-23 |