| NPI | 1033754353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 004043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31710) |
| 225100000X Physical Therapist (Licence: SC 9038) | |
| 225100000X Physical Therapist (Licence: TX 1286726) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-02-14 |