| NPI | 1093974453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10431R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1181339) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-12-17 |