| NPI | 1366797508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA CP033196T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010842A) |
| 225100000X Physical Therapist (Licence: DC PT872523) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2024-11-15 |