| NPI | 1700060415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1292670) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009143) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2019-03-14 |