| NPI | 1578529251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1039766) |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand (Licence: TX 9310000157) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-07-08 |