| NPI | 1881252500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1315654) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18729) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-08-01 |