| NPI | 1780218388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1193453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34142) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |