| NPI | 1619589561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1355076) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213868) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-03-06 |