| NPI | 1477041259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1312892) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22842) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2026-04-21 |