| NPI | 1811346208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61589) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11974) |
| 225100000X Physical Therapist (Licence: OH 013996) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |