| NPI | 1881409902 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: TX 1231173) | 
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1231173) | 
| Enumeration Date | 2025-02-07 | 
| Last Update Date | 2025-02-07 |