| NPI | 1578989117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1319848) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037464) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2022-09-07 |