| NPI | 1164264313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1396510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3133196) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-08-14 |