| NPI | 1649403924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 1441) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2023-08-24 |