| NPI | 1275985509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 17941) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1275616) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-08-30 |