| NPI | 1861755183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1217529) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2026-02-27 |