| NPI | 1801211792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1362267) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038470) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2023-08-11 |