| NPI | 1144793753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1311707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT4547) |
| 225100000X Physical Therapist (Licence: WA PT60889661) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |