| NPI | 1497229579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 10179195-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP000059T) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-07-17 |