| NPI | 1245847912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29779) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1334536) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-02-17 |