| NPI | 1255755526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1233286) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 39889) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2025-09-23 |