| NPI | 1700501319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP028237T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1364824) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-04-13 |