| NPI | 1033713466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1390654) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299570) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2026-06-26 |