| NPI | 1255826624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 10853374-27401) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-08-07 |