| NPI | 1841729290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT10032) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-01-23 |