| NPI | 1952254211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1407897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 17363) |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-07-17 |