| NPI | 1730333469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030843) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2020-01-21 |