| NPI | 1194782920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9372) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32683) |
| 225100000X Physical Therapist (Licence: NC P14185) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-11-20 |