| NPI | 1083835466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38711) |
| 225100000X Physical Therapist (Licence: KY 04680) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-01-24 |