| NPI | 1114406378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1309032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 1309032) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2024-11-04 |