| NPI | 1467877712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1240025) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0012538) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2018-05-23 |