| NPI | 1992328983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1315131) |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2024-02-26 |