| NPI | 1881239606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1347510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12497) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-07-12 |