| NPI | 1588204960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P-CP008655T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1325632) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2022-08-25 |