| NPI | 1225558356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 22872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1284870) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-08-02 |