| NPI | 1366906166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1287125) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH cp000088T) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2020-12-01 |