| NPI | 1386479368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 11658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11658) |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-09-13 |