| NPI | 1841506391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1277147) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9112) |
| 225100000X Physical Therapist (Licence: MN 8543) | |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2017-02-10 |