| NPI | 1922630250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1328929) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-07-23 |