| NPI | 1205973724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1338759) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 33399) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2026-01-07 |