| NPI | 1376118547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1346373) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-01-27 |