| NPI | 1821510256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4138) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37397) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |