| NPI | 1477939973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 30483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1231852) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |