| NPI | 1588108963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1110138) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000010886) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2025-04-30 |