| NPI | 1861210908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP035171T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23577) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-10-25 |