| NPI | 1073945655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1337252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011074) |
| 225100000X Physical Therapist (Licence: NC 15026) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2021-07-08 |