| NPI | 1750661617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2023047495) |
| 225100000X Physical Therapist (Licence: TX 1339029) | |
| 225100000X Physical Therapist (Licence: KY 006432) | |
| 225100000X Physical Therapist (Licence: TN 9051) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2024-06-11 |