| NPI | 1750550505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1288890) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5232) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2019-10-03 |