| NPI | 1093596314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1094191) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2025-03-12 |