| NPI | 1740482249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 21898) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1176799) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-06-29 |