| NPI | 1093138158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 3125524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298008) |
| 225100000X Physical Therapist (Licence: NY 036493) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2022-03-25 |