| NPI | 1730597311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 1950) |
| 225100000X Physical Therapist (Licence: FL 12973) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |