| NPI | 1578952834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4602) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1255191) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2020-04-17 |