| NPI | 1932836103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP031353T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1363692) |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2025-10-09 |