| NPI | 1912776105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1386683) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT39222) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-01-03 |