| NPI | 1467076125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT5136) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1330958) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2022-05-28 |