| NPI | 1780418376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1408988) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2154689) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2026-08-31 |