| NPI | 1710256649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1356519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033705) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2022-04-14 |