| NPI | 1881313351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1401456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT39262) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2024-10-30 |