| NPI | 1942743877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1306475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040292) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2024-01-25 |