| NPI | 1093116667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1237797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1106671) |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2021-06-22 |