| NPI | 1326458852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1236996) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2023-02-23 |