| NPI | 1871721985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1108256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010543) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2023-04-20 |