| NPI | 1063071389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1318854) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2021-07-11 |