| NPI | 1588498430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1400190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 053094) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-09-23 |