| NPI | 1437691532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1299750) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 292363) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2018-11-12 |