| NPI | 1093234304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: P16508) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-12-29 |