| NPI | 1740683739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1208226) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |