| NPI | 1427239003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870618) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22069) |
| Enumeration Date | 2007-11-24 |
| Last Update Date | 2019-10-03 |