| NPI | 1003255316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1303111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT 3640) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2022-04-21 |