| NPI | 1619622628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1358295) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 1358295) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |