| NPI | 1659937621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PR 746) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: PR 746) |
| 2251N0400X Physical Therapist, Neurology (Licence: PR 746) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PR 746) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |