| NPI | 1336390608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11005) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8177) |
| 225100000X Physical Therapist (Licence: TX 1325466) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2024-12-09 |