| NPI | 1376728725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029846) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2022-02-09 |