| NPI | 1417425430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34075) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA1797300) |
| 225100000X Physical Therapist (Licence: CA 293236) | |
| 225100000X Physical Therapist (Licence: HI PT-4367) | |
| 225100000X Physical Therapist (Licence: PA PT023281) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |