| NPI | 1346673787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36344) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1232891) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2024-03-27 |