| NPI | 1932838133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1361940) |
| 225100000X Physical Therapist (Licence: VA CP022953T) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-09-04 |