| NPI | 1558099796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP051880T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT5159) |
| 225100000X Physical Therapist (Licence: TX CP032581T) | |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2026-02-09 |