| NPI | 1275255788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13315030-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64642) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-03-04 |