| NPI | 1194365676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1326966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD CP059347T) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2026-07-02 |