| NPI | 1427386549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1031888) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2024-08-02 |