| NPI | 1285838839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1109262) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-06-07 |