| NPI | 1215329081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4466) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1255435) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2024-04-11 |