| NPI | 1144577271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1387002) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36416) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2024-09-10 |