| NPI | 1891049532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4929) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT4788) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2024-05-28 |