| NPI | 1841671161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1238820) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NY 62 036939) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-03-22 |