| NPI | 1942496716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1144905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7953) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2008-09-04 |