| NPI | 1720534829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 9626976-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12521) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2025-09-29 |