NPI | 1376056325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1304269) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1242412) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2023-04-21 |