| NPI | 1528308186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1161421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PR 1281) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |