| NPI | 1447703376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1298529) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2025-01-28 |