| NPI | 1750500336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2548) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1151110) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-08-23 |