| NPI | 1346948494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1386308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LTP-32870) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-12-08 |