| NPI | 1265611602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33457) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1173020) |
| 225100000X Physical Therapist (Licence: LA 06984) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2022-12-20 |