| NPI | 1578263455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1374844) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-04-03 |