| NPI | 1861799082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1229073) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2024-12-06 |