| NPI | 1447627690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: TX 1264347) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2023-12-15 |