| NPI | 1982991105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 076966) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2025-06-10 |