| NPI | 1528660800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1398569) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2156700) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-10-09 |