| NPI | 1457623332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1197350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 3409) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2023-09-19 |