| NPI | 1366692816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7619140-2401) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2021-03-23 |