| NPI | 1386126738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1319753) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015938) |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2020-11-03 |