| NPI | 1558524355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5427) |
| 225100000X Physical Therapist (Licence: ID PT-2420) | |
| 225100000X Physical Therapist (Licence: CO PTL10197) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-11-07 |