| NPI | 1134952112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1395493) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC CP033582T) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-09-05 |