| NPI | 1215820188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305217040) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-06-09 |