| NPI | 1477068500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1287505) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |