| NPI | 1013403799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP008668T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10011R) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2022-03-04 |