| NPI | 1013683580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1350900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3127689) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-04-09 |