| NPI | 1497774335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1106722) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1106722) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-04-10 |