| NPI | 1346750379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23315) |
| 225100000X Physical Therapist (Licence: TX 1312038) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-01-14 |