| NPI | 1558412460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1168725) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT32778) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-02-22 |