| NPI | 1659509040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1195456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24725) |
| 225100000X Physical Therapist (Licence: WA PT60994978) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2019-09-12 |