| NPI | 1548837248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3126981) |
| 225100000X Physical Therapist (Licence: TX 1349930) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-02-13 |