| NPI | 1336496470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1408087) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015756) |
| 225100000X Physical Therapist (Licence: FL PT27632) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2026-03-26 |