| NPI | 1477030609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1275196) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |