| NPI | 1912508227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1334793) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2026-04-13 |