| NPI | 1225327166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 6682) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P6682) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-09-26 |