| NPI | 1982029617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1241059) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023424) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |