| NPI | 1437565421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1250908) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3345) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2021-12-14 |