| NPI | 1801580691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048930) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2026-01-12 |