| NPI | 1114546397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1322780) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO CP011077T) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2022-07-20 |