| NPI | 1164686531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1131548) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27415) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-02-25 |