| NPI | 1952596504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1160600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 30253) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |