| NPI | 1629735337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP017077T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1354600) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2025-01-13 |