| NPI | 1780458166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP035484T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT890020) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-11-14 |