| NPI | 1801389960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1308478) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0018919) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2026-01-27 |