| NPI | 1952659088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24278) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1215438) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2026-04-13 |