| NPI | 1043891559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1327937) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-09-20 |