| NPI | 1982950820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1317418) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT37944) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2025-04-07 |