| NPI | 1952655813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1198011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT3555) |
| 225100000X Physical Therapist (Licence: GA PT010341) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2021-11-29 |