| NPI | 1134496425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1060234) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT020794) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |