| NPI | 1932963105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX PTL.0019544) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-12-19 |