| NPI | 1598002040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13753) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6826) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2021-08-11 |