| NPI | 1740925593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1359329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT33114) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2025-07-16 |