| NPI | 1295434421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1374726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050092) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-03-03 |