| NPI | 1366906356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013632A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0015118) |
| 225100000X Physical Therapist (Licence: TX 1314226) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-06-18 |