| NPI | 1063133767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1360170) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP038531T) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2024-12-13 |