| NPI | 1043837008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1341384) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2026-03-09 |