| NPI | 1952007973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1302368) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5229) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |