| NPI | 1851848907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1261885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2247) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-09-21 |