| NPI | 1689994592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1292070) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032573-1) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-08-23 |