| NPI | 1205354297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19108) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211487) |
| 225100000X Physical Therapist (Licence: TX CP004928T) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-07-21 |