| NPI | 1356204432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1407759) |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2026-01-07 |