| NPI | 1629235080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT810) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT 810) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-03-29 |