| NPI | 1942545017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1281652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39745) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2016-12-01 |