| NPI | 1356851513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1316383) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293681) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2019-03-27 |