| NPI | 1124766753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN CP024762T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3128450) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-08-30 |