| NPI | 1558995514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1311692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP025067T) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2024-12-12 |