| NPI | 1780997973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7851939-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19199) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2011-03-03 |