| NPI | 1659025740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1371553) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT6049) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2025-10-23 |