| NPI | 1780700674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1249388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002085) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2017-01-04 |