| NPI | 1588747778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14922) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4822) |
| 225100000X Physical Therapist (Licence: TX 1183780) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-12-01 |