| NPI | 1245008051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307055) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1386472) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2025-01-23 |