| NPI | 1215484209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP000371T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4120) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-01-31 |