| NPI | 1013713692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP042516T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1405788) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |