| NPI | 1497091276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1277008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035703-01) |
| Enumeration Date | 2012-12-22 |
| Last Update Date | 2023-08-28 |