| NPI | 1811687973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 133223256-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291600) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |