| NPI | 1205341666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 1298163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 1298163) |
| 225100000X Physical Therapist (Licence: TX 1298163) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |