| NPI | 1538378526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8810) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 9370) |
| 225100000X Physical Therapist (Licence: WY 1125) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-06-11 |