| NPI | 1255480539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 6251372-2401) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-05-15 |