| NPI | 1093448490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1362788) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-04-13 |