| NPI | 1164538898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1030658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP008765T) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-05-30 |