| NPI | 1083317556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1365322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 5609) |
| 225100000X Physical Therapist (Licence: CA 303097) | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-09-26 |