| NPI | 1710606496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302706) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-09-25 |