| NPI | 1588303408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP026252T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 303382) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2023-12-12 |