| NPI | 1881217834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407547) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: IA 099975) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2026-03-18 |