| NPI | 1518363076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 9531716-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60838) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2022-07-29 |