| NPI | 1043729221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1337249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042252) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-05-25 |