| NPI | 1881855286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1202019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28953) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-08-12 |