| NPI | 1437723723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1348718) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 3126559) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-07-08 |