| NPI | 1952848541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1264713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5081) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-09-20 |