| NPI | 1124884879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 5429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP027949T) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-05-29 |