| NPI | 1578913588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 4191) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |