| NPI | 1831604040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3107) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-06-16 |