| NPI | 1497010094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI SP2470) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107807) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2026-03-27 |