| NPI | 1891112991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1391273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011377A) |
| 225100000X Physical Therapist (Licence: CA 291524) | |
| 225100000X Physical Therapist (Licence: NY 037134-1) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-06-27 |