| NPI | 1811510597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1248002) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-06-20 |