| NPI | 1356014815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1230686) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-11-03 |