| NPI | 1396393179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1321055) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-05-17 |