| NPI | 1144957374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1386714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016093) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-12-19 |