| NPI | 1760034581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1325592) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3124534) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2020-09-02 |