| NPI | 1902555444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX 1358332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1902555444) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2024-11-25 |