| NPI | 1528490257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12345125-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 18598) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2021-08-31 |