| NPI | 1629950191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP046824T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019027807) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-08-05 |