| NPI | 1154056679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1361477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 38648) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |