| NPI | 1891313342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1326976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 19316) |
| 225100000X Physical Therapist (Licence: VA 2305212668) | |
| 225100000X Physical Therapist (Licence: CO 0016556) | |
| 225100000X Physical Therapist (Licence: WY 0999) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |