| NPI | 1922680404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 125052502401) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2023-01-27 |