| NPI | 1366178014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 234001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1362692) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2026-03-03 |