| NPI | 1497031082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019470) |
| 225100000X Physical Therapist (Licence: MI 5501015084) | |
| 225100000X Physical Therapist (Licence: IN 05010273A) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2019-12-31 |