| NPI | 1871529487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1166130) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 1655) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2009-02-03 |