| NPI | 1699566513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406784) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP048793T) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-10-07 |