| NPI | 1346948494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1386308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16489) |
| 225100000X Physical Therapist (Licence: SC 12626) | |
| 225100000X Physical Therapist (Licence: AZ LTP-32870) | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2025-10-07 |