| NPI | 1033628557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1306502) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5372) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-02-25 |