| NPI | 1912386053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1250021) |
| 225100000X Physical Therapist (Licence: NM 4512) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |