| NPI | 1033790639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1390121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10916) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-06-05 |