| NPI | 1487202172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1322681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP008034T) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-10-12 |