| NPI | 1124252275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1187853) |
| 225100000X Physical Therapist (Licence: OK 4250) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2023-10-12 |