| NPI | 1497268569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1290230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23228) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-03-30 |