| NPI | 1275057838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1318760) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6214) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-10-19 |