| NPI | 1184351652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1400972) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 048782-01) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2025-02-07 |