| NPI | 1508136524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1211677) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7788) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |