| NPI | 1003638669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1402111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3133851) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-11-14 |