| NPI | 1255741963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-5443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4377) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2018-01-26 |