| NPI | 1790529204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1397577) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3133187) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-08-19 |