| NPI | 1053963041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 10856845-2401) |
| Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors (Licence: UT 10856845-2401) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-11-30 |