| NPI | 1952881591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1-3300-9) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1-0033-9) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |