| NPI | 1396165031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1249426) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-02-14 |