| NPI | 1972349876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT7727) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-07-14 |