| NPI | 1366170805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1364803) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015351A) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-03-19 |