| NPI | 1134759467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT5618) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1383194) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2023-10-05 |