| NPI | 1043284037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1272659) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4192) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-04-21 |