| NPI | 1952040438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12872447-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-24333) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-12-15 |