| NPI | 1629299300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 1599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8173) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-07-21 |