| NPI | 1730304569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: TX 98301) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1167619) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-01-22 |