| NPI | 1588428601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP042968T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1389182) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-04-10 |