| NPI | 1861926875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1375615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038414) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-12-20 |