| NPI | 1295584191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1258892) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27590) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |