| NPI | 1922581057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1240359) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1240359) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |