| NPI | 1144461740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021034054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT3130) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2023-02-13 |