| NPI | 1427675610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1391298) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5760) |
| 225100000X Physical Therapist (Licence: AL PTH11153) | |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2024-05-07 |