| NPI | 1558179911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1284487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2023-2087) |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-06-25 |