| NPI | 1740573302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1203058) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2014-06-20 |