| NPI | 1568905909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1278027) |
| 225100000X Physical Therapist (Licence: IA 084027) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2019-11-01 |