| NPI | 1669021416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298445) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1322909) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-01-13 |