| NPI | 1316062912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1090553) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 23028) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-01-18 |