| NPI | 1922309061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1177880) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112191) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |