| NPI | 1851339204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1217530) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL PTH3223) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-10-03 |