| NPI | 1467760330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9239) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19113) |
| 225100000X Physical Therapist (Licence: NY 031834-1) | |
| 225100000X Physical Therapist (Licence: NC 12692) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2017-11-10 |