| NPI | 1164887436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1268655) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294957) |
| 225100000X Physical Therapist (Licence: NY 044962) | |
| 225100000X Physical Therapist (Licence: NV 4121) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-04-17 |