| NPI | 1306247986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1252020) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2020-04-24 |