| NPI | 1295955144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1089654) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-26 |