| NPI | 1720644578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1320916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3123505) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-08-05 |