| NPI | 1780493452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 14197140-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 4271845) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-06-23 |