| NPI | 1316343684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1313641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011755) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2018-12-10 |