| NPI | 1942128871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1408461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT-2026-0146) |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |