| NPI | 1023179280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1144996) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-07-21 |