| NPI | 1427068279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1333340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018171) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-05-10 |