| NPI | 1144760828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1259619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011945) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2018-06-23 |