| NPI | 1013366822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 9634765-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4822) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-07-21 |