| NPI | 1649017922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 13860645-2401) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-08-08 |