| NPI | 1851724736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1250150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24656) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2014-11-03 |