| NPI | 1700321965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 10599726-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1285320) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2023-01-19 |