| NPI | 1942015979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1406169) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-25 |