| NPI | 1508981630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: UT 118441-2401) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: UT 118441-2401) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |