| NPI | 1518251222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1177359) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |