| NPI | 1265199129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1355481) |
| Enumeration Date | 2021-11-25 |
| Last Update Date | 2023-12-28 |