| NPI | 1619501228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10250) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 31253) |
| 225100000X Physical Therapist (Licence: TX 1246411) | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-08-24 |