| NPI | 1295985364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019545) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2016-10-10 |