| NPI | 1437833050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1380985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3131572) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-08-09 |