| NPI | 1659851806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP036795T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1326601) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2025-02-25 |