| NPI | 1467097543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26579) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1320501) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-01-04 |