| NPI | 1598302143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11668R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1270946) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-03-26 |