| NPI | 1750075826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 138127) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 3131314) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2026-05-28 |