| NPI | 1194238238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12508599-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0015128) |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2024-10-14 |