| NPI | 1952675936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1250561) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033183) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2022-06-11 |