| NPI | 1730792086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1355661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014808) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-04-27 |