| NPI | 1154947760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1331576) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-08-28 |