| NPI | 1942382320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: TX 1190051) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 6287043-2401) |
| 225100000X Physical Therapist (Licence: TX 1190051) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-07-15 |