| NPI | 1659973113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1340966) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: IL 070.025280) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-07-02 |