| NPI | 1396069670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1228848) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020429) |
| 225100000X Physical Therapist (Licence: FL PT27920) | |
| 225100000X Physical Therapist (Licence: VA 2305207895) | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2020-08-27 |