| NPI | 1548383508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1053254) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 24376) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-09-15 |