| NPI | 1124399837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1156951) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX ATP50198) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2024-01-05 |