| NPI | 1912932070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1007474) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT013300) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-06-08 |