| NPI | 1043094816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13196142-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23496) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-08-07 |