| NPI | 1174047898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13834-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1292620) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-03-01 |