| NPI | 1629442363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4878) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1268676) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2020-10-16 |