| NPI | 1841504560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2006009465) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1228173) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2013-04-23 |