| NPI | 1942173281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-33011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP046400T) |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |