| NPI | 1023363033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1238280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4600) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2025-05-22 |