| NPI | 1861467029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6373) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1172208) |
| 225100000X Physical Therapist (Licence: TN 7235) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-09-24 |