| NPI | 1821556036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 171594) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1315408) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-01-11 |