| NPI | 1235868332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1358363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP015122T) |
| 225100000X Physical Therapist (Licence: IA CP017267T) | |
| 225100000X Physical Therapist (Licence: VA CP010770T) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-08-31 |