| NPI | 1407523863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP015774T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1350697) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-12-13 |