| NPI | 1578895355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24397) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1407346) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2025-09-08 |