| NPI | 1023731064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14172) |
| 225100000X Physical Therapist (Licence: TX 1369040) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-10-02 |