| NPI | 1831745397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT7027) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1320449) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2021-05-04 |