| NPI | 1437654431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042220) |
| 225100000X Physical Therapist (Licence: GA PT013210) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-07-17 |