NPI | 1629725437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1357300) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 1357300) |
Enumeration Date | 2022-03-02 |
Last Update Date | 2022-09-19 |