| NPI | 1982963195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1369254) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034526) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2024-09-27 |