| NPI | 1205661733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13984646-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP034753T) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-10 |