| NPI | 1316580020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1348327) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35025) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2021-12-20 |