| NPI | 1457892929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1332133) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22755) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2020-12-07 |