| NPI | 1629762638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046427) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1356100) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-12-23 |