| NPI | 1720496029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT016264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208869) |
| 225100000X Physical Therapist (Licence: TX 1311743) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2022-12-29 |