| NPI | 1205292976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1320077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 30144) |
| 225100000X Physical Therapist (Licence: IN 05011542A) | |
| 225100000X Physical Therapist (Licence: CA 293234) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-09-30 |