| NPI | 1407246879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029301-1) |
| 225100000X Physical Therapist (Licence: WA 60868391) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2019-01-28 |