| NPI | 1972612810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist Electrophysiology, Clinical (Licence: TX 1079499) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: TX 1079499) |
| 2251P0200X Physical Therapist Pediatrics (Licence: TX 1079499) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: TX 107999) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |