| NPI | 1124151774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1319517) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10461) |
| 225100000X Physical Therapist (Licence: CA 42110) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-12-16 |