| NPI | 1003423435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT1028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 1028) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |