| NPI | 1396212312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1124105) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2021-04-20 |