| NPI | 1750513677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13988) |
| 225100000X Physical Therapist (Licence: NJ 40QA01322300) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2022-09-27 |