| NPI | 1609167238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37776) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1209883) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2012-10-16 |