| NPI | 1487214219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11825861-8016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1318220) |
| 225100000X Physical Therapist (Licence: FL PT35205) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2020-08-02 |