| NPI | 1437468055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT3285) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2023-02-10 |