| NPI | 1285350546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1325941) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61014607) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |