| NPI | 1205795168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 14270061-2401) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1405182) |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-02-05 |