| NPI | 1013130434 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1167033)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120864)  | 
| Enumeration Date | 2007-04-11 | 
| Last Update Date | 2024-04-09 |