| NPI | 1235813288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1382166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3131440) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-08-16 |