| NPI | 1659782696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28366) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1181833) |
| 225100000X Physical Therapist (Licence: NC P16710) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-07-23 |