| NPI | 1194954685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1188050) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 017874) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2024-05-26 |