| NPI | 1720353279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 365176-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 23047) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |