| NPI | 1366955833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1297911) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10824) |
| 225100000X Physical Therapist (Licence: NM 5156) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |