| NPI | 1316624232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64957) |
| 225100000X Physical Therapist (Licence: CA 304237) | |
| 225100000X Physical Therapist (Licence: MA PTL28143) | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-08-25 |