| NPI | 1831108182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1256719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 59248292401) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-08-23 |