| NPI | 1346606019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1268550) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 742139056) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-11-03 |