| NPI | 1992198303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1344874) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5877) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2023-07-31 |