| NPI | 1366281610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1391578) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P24200) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2025-07-14 |