| NPI | 1851536403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 2978) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1170296) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2015-11-17 |