| NPI | 1174217442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1394562) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016605) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-11-22 |