| NPI | 1245948694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1390621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0018791) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-04-16 |