| NPI | 1770927055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1220880) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-07-02 |