| NPI | 1962734608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 5118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1194720) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-03-08 |