| NPI | 1235389479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-002458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34184) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2021-01-04 |