| NPI | 1669971974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13423904-2401) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225100000X Physical Therapist (Licence: NV 3985) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-08-15 |