| NPI | 1366872228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1237011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC p20946) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-09-26 |