| NPI | 1598315699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1318379) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: TX 1318379) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-08-17 |