| NPI | 1982999041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1229328) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004796) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2013-06-23 |