| NPI | 1629444799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 19266) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013541) |
| 225100000X Physical Therapist (Licence: TX 1262305) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2021-11-07 |