| NPI | 1962736843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1192270) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2013-05-03 |