| NPI | 1871589895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 9346013-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11482) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2018-10-05 |