| NPI | 1427570860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 30072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1288339) |
| 225100000X Physical Therapist (Licence: OR 62355) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |