| NPI | 1083405906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 309958) |
| 225100000X Physical Therapist (Licence: AZ CP052215T) | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2026-04-28 |