| NPI | 1629186473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1318287) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21298) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-07-01 |