| NPI | 1821401019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1246333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3115281) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-08-13 |