| NPI | 1700341567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1332433) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10196) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-12-05 |