| NPI | 1326246299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1241950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 139784) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-03-06 |