| NPI | 1356587760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 667) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 667) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: SC 667) | |
| 2251N0400X Physical Therapist, Neurology (Licence: SC 667) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2021-03-12 |