| NPI | 1396196424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1306320) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13469-024) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2019-02-19 |