| NPI | 1447335724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-5810) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8331) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2022-07-21 |