| NPI | 1346947454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP032715T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP018053T) |
| 225100000X Physical Therapist (Licence: CO CP026262T) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-09-25 |