| NPI | 1588247068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1377830) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT4944) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-08-10 |