| NPI | 1245558592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1141141) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033313) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2025-08-28 |