| NPI | 1730388778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1327405) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8328) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2020-02-21 |