| NPI | 1508175126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1201090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010034267) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2013-08-28 |