| NPI | 1831462076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1062263) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1062263) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2014-06-23 |