| NPI | 1861876609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1250638) |
| 225100000X Physical Therapist (Licence: HI 4010) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |