| NPI | 1063110138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 309090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1374188) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2026-02-26 |