| NPI | 1750837191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT3851) |
| 225100000X Physical Therapist (Licence: MD 25413) | |
| 225100000X Physical Therapist (Licence: CA PT39226) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2018-07-17 |