| NPI | 1184343105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12890773-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 306763) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-09-10 |