| NPI | 1912104688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 30531) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1154823) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-04-19 |