| NPI | 1427410067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1237391) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014029408) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2018-11-01 |