| NPI | 1346247269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 14159685-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1300 PT) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-01-24 |