| NPI | 1154561785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1303240) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35267) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2020-01-28 |