| NPI | 1447483029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-4365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3742) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2022-03-15 |