| NPI | 1578190526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9568) |
| 225100000X Physical Therapist (Licence: KY 007888) | |
| 225100000X Physical Therapist (Licence: TN 12772) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |