| NPI | 1689938854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1215873) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009312) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |