| NPI | 1033421896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 3493) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1198099) |
| 225100000X Physical Therapist (Licence: WA 60451317) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-07-11 |