| NPI | 1295585529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1403398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 052118) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2025-02-07 |