| NPI | 1841869377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10742) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP024085T) |
| 225100000X Physical Therapist (Licence: TX CP022103T) | |
| 225100000X Physical Therapist (Licence: VA CP022104T) | |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2023-07-31 |