| NPI | 1124919949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 034658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP049797T) |
| 225100000X Physical Therapist (Licence: SC CP046569T) | |
| 225100000X Physical Therapist (Licence: OR 66071) | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2026-06-17 |