| NPI | 1730699174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1282016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP024906T) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2025-09-22 |