| NPI | 1144487190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 32283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 114292) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-03-20 |