| NPI | 1942529888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1306415) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010240A) |
| 225100000X Physical Therapist (Licence: MI 5501014739) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2021-05-24 |