| NPI | 1215816590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1408477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2025036977) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2026-08-03 |