| NPI | 1255744389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014435) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1288950) |
| 225100000X Physical Therapist (Licence: MD 24902) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2021-11-04 |