| NPI | 1457656795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT40419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1202823) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2023-09-14 |