| NPI | 1922474964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1266159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013503) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2023-04-25 |