| NPI | 1639508120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12287959-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208357) |
| 225100000X Physical Therapist (Licence: IL 070-020464) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2022-12-07 |