| NPI | 1326557810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1296840) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017026588) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |