| NPI | 1952886426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9373) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1310658) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-15 |