| NPI | 1306394341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P100145E) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010692) |
| 2251N0400X Physical Therapist, Neurology (Licence: OR PT 61611) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2021-01-07 |