| NPI | 1477114809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1344687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT296760) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-10-16 |