| NPI | 1093565285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1247968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35982) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |