| NPI | 1932774981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1349776) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 31266697) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-04-01 |