| NPI | 1396000626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 8677254-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9886) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-07-16 |