| NPI | 1750607719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8898) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1182087) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2015-07-15 |