| NPI | 1891323424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1327381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045191) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2021-04-30 |