| NPI | 1578338364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1386244) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051514) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-29 |