| NPI | 1740702729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1400688) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM NM5091) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-10-28 |