| NPI | 1598374597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 19261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1331080) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2020-07-26 |