| NPI | 1245711019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1386605) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2133430) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2023-12-14 |