| NPI | 1487947511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1208820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3110075) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2012-04-02 |