| NPI | 1598411316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 048530) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2025-06-03 |