| NPI | 1861169310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP007904T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 4441) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-25 |