| NPI | 1598271934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1298212) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11414) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |