| NPI | 1346662004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1210817) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2023-08-08 |