| NPI | 1265804660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9931) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037745) |
| 225100000X Physical Therapist (Licence: TX 1252906) | |
| 225100000X Physical Therapist (Licence: CO 0013193) | |
| Enumeration Date | 2015-10-24 |
| Last Update Date | 2015-10-24 |