| NPI | 1922326537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1356389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032187) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2025-04-01 |