| NPI | 1003512989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP046408T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1373141) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2025-12-05 |