| NPI | 1639368087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010830) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1154313) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2013-06-26 |