| NPI | 1649759747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1308869) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 4814) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-08-22 |