| NPI | 1952136137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1400821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050044) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-26 |