| NPI | 1285516682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407048) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP050716T) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-11-17 |