| NPI | 1598032120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1236350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2011037089) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2016-11-02 |