| NPI | 1558305011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1152820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004022172) |
| 225100000X Physical Therapist (Licence: KS 1103472) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-11-02 |