| NPI | 1477923340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9181) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14756) |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2015-10-04 |