| NPI | 1689340168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1350992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX PT3126261) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-23 |