| NPI | 1205660974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16947-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP033644T) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-21 |