| NPI | 1720521032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4758) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1284496) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2021-08-05 |