| NPI | 1043590136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1266473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23742) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-09-11 |