| NPI | 1043543705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14075) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10533) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2024-09-27 |