| NPI | 1083325344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1372624) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX pending) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-05-02 |