| NPI | 1972286755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1381163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP051157T) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-12-29 |