| NPI | 1386122885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 18047) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2022-11-08 |