| NPI | 1760773600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC p16221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1203012) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2023-03-15 |