| NPI | 1134682982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-4789) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2022-03-10 |