| NPI | 1487906517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1240819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24198) |
| 225100000X Physical Therapist (Licence: OK 108000) | |
| Enumeration Date | 2012-10-13 |
| Last Update Date | 2022-04-01 |