| NPI | 1285743856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023035586) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1137263) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-01-03 |