| NPI | 1952684615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6710) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1133650) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2012-07-25 |