| NPI | 1699178889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 9161032-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012851) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2020-09-28 |