| NPI | 1053675744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 1934) |
| 225100000X Physical Therapist (Licence: NH CPO37353T) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-11-21 |