| NPI | 1326447558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43006) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1246196) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2025-11-12 |