| NPI | 1780790816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1156506) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 309444) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2025-12-11 |