| NPI | 1487977062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1030021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT5326) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |