| NPI | 1972026094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1203970) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41039) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-11-08 |