| NPI | 1194235598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1205370) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: TX 1205370) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2024-11-24 |