| NPI | 1477810026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20013) |
| 225100000X Physical Therapist (Licence: PA PT021969) | |
| 225100000X Physical Therapist (Licence: KS 1104378) | |
| 225100000X Physical Therapist (Licence: IN 05011336A) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-01-11 |