| NPI | 1629897475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2025034618) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR CP034868T) |
| 225100000X Physical Therapist (Licence: TX 1397253) | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2026-08-03 |