| NPI | 1013695030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1379243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3131766) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-08-10 |