| NPI | 1679876437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 329509) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: UT 329509-2401) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2021-10-25 |