| NPI | 1760699169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX N3898) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1088805) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-04-28 |