| NPI | 1033973888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP038613T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP029851T) |
| 225100000X Physical Therapist (Licence: AZ CP029851T) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-01-03 |