| NPI | 1609019454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1213242) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8148) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2014-04-14 |