| NPI | 1245981281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1386122) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047980) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-05-29 |