| NPI | 1033817432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1373802) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 6278) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-11-11 |