| NPI | 1881411650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12985296-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22821) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-10-30 |