| NPI | 1447669965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1210509) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3286) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2016-09-01 |