| NPI | 1487138723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 188521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1308533) |
| 225100000X Physical Therapist (Licence: WA 60892978) | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2024-04-03 |