| NPI | 1811240153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7725) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1218856) |
| 225100000X Physical Therapist (Licence: NC P15516) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2017-12-05 |