| NPI | 1467756858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13824) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 26110) |
| 225100000X Physical Therapist (Licence: TX 1212709) | |
| 225100000X Physical Therapist (Licence: SC 6876) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2015-12-24 |