| NPI | 1790023026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1303400) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 1300016209) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2024-02-19 |