| NPI | 1639682446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015330) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23380) |
| 225100000X Physical Therapist (Licence: TX 1311370) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2021-06-29 |