| NPI | 1457444663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: TX 1122406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 5099) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-09-11 |