| NPI | 1538675152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1367256) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2131084) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-03-11 |