| NPI | 1952507402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1240382) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1240382) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 111110) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2025-06-06 |