| NPI | 1750631354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1225590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24190) |
| 225100000X Physical Therapist (Licence: CT 9504) | |
| 225100000X Physical Therapist (Licence: VA 2305207595) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2014-02-28 |