| NPI | 1336459833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3011) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NY 62029858) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2023-11-27 |