| NPI | 1659747707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1263838) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1263838) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-12-01 |