| NPI | 1942457056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1205018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009476A) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2025-03-02 |