| NPI | 1184691396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13137) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P9199) |
| 225100000X Physical Therapist (Licence: TX 1137339) | |
| 225100000X Physical Therapist (Licence: VA 2305202261) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2026-01-30 |