| NPI | 1437721073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1395537) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6360) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-08-14 |