| NPI | 1841498953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1120616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2803) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2010-08-23 |