| NPI | 1033242748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1316292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23051) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-02-26 |