| NPI | 1437486685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P10819) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2022-08-10 |