| NPI | 1134829328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13895947-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37843) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-04-12 |