| NPI | 1144577222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1272898) |
| 225100000X Physical Therapist (Licence: FL PT27133) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2019-06-27 |