| NPI | 1528258241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 08241R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1169998) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-09-13 |