| NPI | 1437835352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1379448) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3130660) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-08-20 |