| NPI | 1609170307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1060705) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |