| NPI | 1588857106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23116) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1175640) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2020-05-19 |