| NPI | 1346650223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24341) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2021-07-22 |