| NPI | 1871522391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1170940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT3334) |
| 225100000X Physical Therapist (Licence: LA 04547R) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-07-04 |