| NPI | 1649164120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP049384T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1406884) |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-09-29 |