| NPI | 1407539257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-034279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11977) |
| 225100000X Physical Therapist (Licence: TX 1401383) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-09-10 |