| NPI | 1245805225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP007690T) |
| 225100000X Physical Therapist (Licence: HI PT-5179-0) | |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2022-09-29 |