| NPI | 1588020176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1237846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21701) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2019-12-06 |