| NPI | 1487546768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 14223786-2401) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: UT 14223786-2401) |
| Enumeration Date | 2025-07-19 |
| Last Update Date | 2025-12-02 |