| NPI | 1437307048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1276275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2242) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-09-27 |