| NPI | 1538414958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1220187) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2022-04-22 |