| NPI | 1841892064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1338471) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-09-17 |