| NPI | 1548500168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1299789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24194) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2018-10-26 |