| NPI | 1649048992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41157) |
| 225100000X Physical Therapist (Licence: TX 1390961) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-12-16 |