| NPI | 1891675450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 17066) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1407385) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2026-04-06 |