| NPI | 1992904544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1174153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 06687) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |