| NPI | 1144933995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12846512-2401) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2024-03-01 |