| NPI | 1265945877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10417R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1290247) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2025-08-13 |