| NPI | 1073026266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17606) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1299320) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2023-04-04 |