| NPI | 1821079351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1134328) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-10-14 |