| NPI | 1598122517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60632555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42979) |
| 225100000X Physical Therapist (Licence: TN 10021) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-06-30 |