| NPI | 1578131157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1346831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA CP017424T) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2023-01-12 |