| NPI | 1265959027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC CP035198T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1294135) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-10-09 |