| NPI | 1609242437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1261533) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1265133) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2023-11-03 |