| NPI | 1457963654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 0006631) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.003115) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |