| NPI | 1225882400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407010) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051978) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-11-19 |