| NPI | 1740493683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1145464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT21451) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-02-18 |