| NPI | 1689080095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1249171) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3116286) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-08-27 |