| NPI | 1013434893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1377227) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212396) |
| 225100000X Physical Therapist (Licence: MD 26563) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-01-09 |