| NPI | 1558307850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1069680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 1415) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-11-05 |