| NPI | 1861210908 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: TX 1403721)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23577)  | 
| 225100000X Physical Therapist (Licence: TX CP035171T)  | |
| Enumeration Date | 2024-09-27 | 
| Last Update Date | 2025-02-19 |