| NPI | 1003644535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12373) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP049406T) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-10-09 |