| NPI | 1316315831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008275) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: TX CP004608T) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2022-11-21 |