| NPI | 1841504560 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28760) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1228173) | 
| 225100000X Physical Therapist (Licence: MO 2006009465) | |
| Enumeration Date | 2010-08-05 | 
| Last Update Date | 2025-09-10 |