| NPI | 1487373544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1367179) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-10-14 |