| NPI | 1649522251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39136) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1222470) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2015-05-15 |