| NPI | 1942766936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 019355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 10068620) |
| 251G00000X Hospice Care, Community Based (Licence: TX 10009938) | |
| 376J00000X Homemaker | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2021-04-02 |