| NPI | 1952429482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1073070) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT025866) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |