| NPI | 1033630561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1303630) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31795) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2021-11-04 |