| NPI | 1598968745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1139913) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-013282-L) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2025-09-05 |