| NPI | 1558581850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09991R) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: PR 1346) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2022-10-24 |