| NPI | 1710144696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1178610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4775) |
| 225100000X Physical Therapist (Licence: LA 04647) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2013-11-08 |