| NPI | 1902535578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT5458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1361389) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-10-22 |