| NPI | 1225668346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 14189949-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015345) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2025-10-09 |