| NPI | 1558793984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1242616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3114363) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-01-21 |