| NPI | 1477034965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1324358) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-09-06 |