| NPI | 1952136392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1399746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP044738T) |
| 225100000X Physical Therapist (Licence: MD CP049112T) | |
| 225100000X Physical Therapist (Licence: LA CP042330T) | |
| 225100000X Physical Therapist (Licence: KY CP052063T) | |
| 225100000X Physical Therapist (Licence: MO CP058372T) | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2026-06-15 |