| NPI | 1467009860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10501) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1323794) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-05-07 |