| NPI | 1669408894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1104172) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-04-11 |