| NPI | 1740475474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6178) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2022-10-05 |