| NPI | 1700195880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1225179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22468) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2022-10-12 |