| NPI | 1033992995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1385880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22583) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-12-29 |