| NPI | 1962185082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1382052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP051360T) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-12-01 |