| NPI | 1346435948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 2460) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2021-09-15 |