| NPI | 1992252613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1297020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040563-1) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2020-11-11 |