| NPI | 1508601303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13969992-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 65364) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-07-23 |