| NPI | 1568022200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11277779-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT33684) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |