| NPI | 1457879371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 37408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9654) |
| 225100000X Physical Therapist (Licence: TX 1386162) | |
| 2251N0400X Physical Therapist, Neurology (Licence: NY 041958-1) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-11-30 |