| NPI | 1043402886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1201271) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5324) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-09-29 |