| NPI | 1992944797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1196398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014064) |
| 225100000X Physical Therapist (Licence: NY 62 030742) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2026-06-18 |