| NPI | 1033148408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1049245) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 1049245) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2026-08-06 |