| NPI | 1144930504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1158972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0019329) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2026-03-12 |