| NPI | 1588821458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1062297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VI 116) |
| 225100000X Physical Therapist (Licence: NC 10969) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-10-30 |