| NPI | 1265849467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 1632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 1122) |
| 225400000X Rehabilitation Practitioner (Licence: SC 1632) | |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2023-11-26 |