| NPI | 1588352538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 10394279-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP018454T) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |