| NPI | 1841746492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CP003200T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010950) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-10-09 |