| NPI | 1508136508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1212770) |
| 225100000X Physical Therapist (Licence: MA 19700) | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2024-01-26 |