| NPI | 1699144683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1311406) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NM 4661) | |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2024-07-18 |