| NPI | 1063079077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1318398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP031551T) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2024-05-28 |